Heavy Vaginal Bleeding (estimated in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#430
SMLE Question #430
Obstetrics & Gynecology
General Gynecology
Last updated: February 2026
A 24-year-old primigravida has a term normal vaginal delivery. In the third stage of labour, placental delivery is difficult and she develops uterine inversion with heavy vaginal bleeding (estimated blood loss 1200 mL). The uterus is not palpable abdominally, and a smooth mass protrudes into the vagina. Which of the following is the most likely source of her bleeding?
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